Efficacy of inferior turbinate coblation for treatment of nasal obstruction
| Autor: | S. E. J. Farmer, Stuart Quine, Ronald Eccles |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
Adult
Male medicine.medical_specialty Electrosurgery medicine.medical_treatment Treatment outcome Turbinates Q1 Young Adult otorhinolaryngologic diseases medicine Humans In patient Wales medicine.diagnostic_test business.industry Inferior turbinates Nasal itching Diathermy General Medicine Middle Aged respiratory system R1 Rhinomanometry Surgery Treatment Outcome Otorhinolaryngology Anesthesia Female Nasal Obstruction business |
| Zdroj: | The Journal of Laryngology & Otology. 123:309-314 |
| ISSN: | 1748-5460 0022-2151 |
| DOI: | 10.1017/s0022215108002818 |
| Popis: | Objective:To determine the efficacy of inferior turbinate coblation for the treatment of nasal obstruction.Methods:Twenty patients awaiting submucosal diathermy to the inferior turbinates were recruited into the study. All underwent inferior turbinate coblation. Pre-operative and post-operative nasal function was investigated using posterior rhinomanometry and subjective symptom scales.Results:There was no significant increase in nasal conductance two weeks after inferior turbinate coblation (p = 0.159). However, three months after inferior turbinate coblation, median nasal conductance had increased significantly, from 203 to 324 cm3/s (p = 0.004). The median increase in nasal conductance was 73 cm3/s or 43.5 per cent. Post-operative visual analogue patients' reported post-operative visual analogue scales scores for nasal obstruction decreased significantly, both two weeks (p = 0.006) and three months after inferior turbinate coblation (p = 0.001) when compared to Pre-operative values. There was no change in the reported severity of rhinorrhoea, nasal itching or sneezing. There was a significant relationship (ρ = −0.57, p = 0.014) between pre-operative nasal conductance and change in nasal conductance after inferior turbinate coblation.Conclusions:This study confirms the short-term efficacy of inferior turbinate coblation for the treatment of nasal obstruction. The benefit was greatest in patients with lower pre-operative nasal conductance. Objective measures of nasal obstruction may be important when selecting patients for inferior turbinate coblation. |
| Databáze: | OpenAIRE |
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